Reducing Underage Drinking


Book Description

Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.




Facing Addiction in America


Book Description

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.







Presidential Commission on Drunk Driving


Book Description







TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)


Book Description

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.




Teaching Skills to Reduce DUI Recidivism


Book Description

The purpose of this manual is to assist counselors in implementing RE-thinking Avenues for Change (REACH), a cognitive behavioral therapy developed for clients with a first-time driving under the influence (DUI) offense who are enrolled in a DUI program. The goal of REACH is to prevent drinking and driving. The authors conducted a randomized clinical trial evaluating how helpful REACH was compared with existing DUI groups in program for individuals with a first-time DUI offense, and they found that clients who received REACH reported lower odds of impaired driving upon program completion than did clients in existing groups. This manual presents the 12-session REACH protocol used in the research study. Each session is interactive and encourages clients to share ideas and information; examine the thoughts, feelings, and behaviors that put them at risk for future drinking and driving; learn or enhance existing coping skills; and provide fellow group members with peer support.







Alcohol Involvement in Jewish Americans


Book Description

Compared to other religious or ethnic groups in the United States, Jewish Americans have lower rates of alcohol abuse and dependence. Most theories have concentrated on religious and cultural explanations to account for the low level of alcohol involvement found among Jewish individuals, while recent studies have focused on possible biological explanations. It is also possible that the factors associated with level of alcohol involvement among Jewish Americans may not be specific to religion, culture, or specific biological traits, but may be similar to vulnerability factors associated with alcohol-related behavior in other groups, but occurring in either lower or higher frequency among Jews. The present study used a risk and protective factor approach to determine variables associated with level of alcohol involvement and the prevalence of alcohol-related behavior in 273 Jewish and non-Jewish American Caucasian college students (47% male, mean age = 22 years). The risk and protective factors evaluated were based on vulnerability factors related to alcohol use and alcohol-related problems in previous studies and were used to create a risk factor index and a protective factor index. As hypothesized, results showed that Jewish students reported significantly fewer drinking days (19 days vs. 22 days) over the past 90 days, reported consuming significantly fewer drinks (2.5 vs. 3.2) per occasion, and had a lower prevalence of lifetime alcohol abuse (11% vs. 21%) and dependence (4% vs. 16%) than non-Jewish students. There is evidence to suggest that differences in these rates are related to Jewish individuals possessing fewer risk factors (M = 1.6 vs. 2.4) and more protective factors (M = 2.2 vs. 1.4) than non-Jews. Furthermore, results from exploratory analyses suggest that although the two groups have common vulnerability factors related to alcohol involvement, some risk and protective factors may have more significance for Jews, such as peer drinking and attitudes toward alcohol use. This research has potential to provide critical information for understanding how variables might interact to modify drinking behaviors among Jewish Americans, and on the universality of risk and protective factors across populations.